Psychoanalytic Psychotherapy: A Modern Kleinian Approach by Robert Waska

By Robert Waska

This quantity is a suite of papers written from the fashionable Kleinian viewpoint on numerous scientific concerns encountered in daily psychoanalytic perform. It presents the reader a special chance to step into the consulting workplace of a Kleinian psychoanalyst and know about the moment-to-moment equipment of operating with various complex and infrequently complicated medical occasions. the chosen themes are approached from a theoretical vantage that is then fleshed out with vast case fabric, permitting the reader to proportion within the scientific event. hardly does a psychoanalytic textual content permit the reader into the "he said/she acknowledged" trade in this type of shut diversity, intimate demeanour.

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Extra info for Psychoanalytic Psychotherapy: A Modern Kleinian Approach (Psychiatry-Theory, Applications and Treatments)

Example text

Melanie Klein (1930) described the early ego=s struggle to deal with aggression at its objects. The desire to destroy the breast, the vagina, and the penis, which stand for the whole objects of mother and father, builds great anxiety. The ego wishes to hold onto its good objects and feels anxious about hurting them. Therefore, the ego begins to equate its part-objects with other things both internally and externally. Projected aggressive feelings again turn these objects into dangerous or damaged objects, so the ego again makes new and different equations.

Psychotic regression and withdrawal provide escape from the untenable through abandonment of reality testing. The person who is prey to psychosomatic illness has suffered serious insecurity early in life but has not erected adequate mechanisms of defense to protect against the danger. Rather, he avoids recurrence of the insecurity or trauma by patterning his life so that he will never be exposed again. 652) The (word) ''encapsulated'' trauma and (phrase) ''serious insecurity early in life'' speak to the pre-genital intrapsychic difficulties these patients experience.

He felt cheated by life and constantly used by friends. But, he loyally suffered along, always trying to be the nice guy. Arnold landed a modest job as a public relations person for a large magazine distribution company. His job was to field calls from customers who had questions or complaints. For five years he felt happy and fulfilled. The job gave him a feeling that he was providing customers protection and understanding when they felt unhappy with the company=s services. This gave Arnold a sense of mastery over his helpless childhood feelings of being at the mercy of his brothers and not being able to protect his sister and mother.

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